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General NPI Number Information
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NPI Number | 1619924149
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Entity Type | Organization
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Legal Business Name | M&M INDUSTRIES LLC
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Dates
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Enumeration Date | 05/29/2006
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Last Update Date | 03/12/2009
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Provider Practice Location Address
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Address Line | 15 CHESTERFIELD RD FLANDERS PLAZA
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City | EAST LYME
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State | CT
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Zip | 06333-1249
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Country | US
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Telephone | 860-739-1316
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Fax | 860-739-1320
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Provider Business Mailing Address
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Address Line | 162 LAKEWOOD RD
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City | SOUTH GLASTONBURY
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State | CT
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Zip | 06073-2319
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Country | US
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Telephone | 860-430-1079
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Fax | 860-430-1079
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | JAMES P. MANFREDI
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Credential |
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Telephone | 860-430-1079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | CT
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